膽囊結(jié)石圍手術(shù)期護理中臨床護理路徑應(yīng)用的價值研究

夏習習

【摘要】目的：分析膽囊結(jié)石圍手術(shù)期護理中臨床護理路徑應(yīng)用的價值。方法：選取2021年1月—2022年10月本院收治的68例膽囊結(jié)石手術(shù)患者，以入院順序奇偶數(shù)進行參照組與研究組劃分，各34例，其中參照組予以常規(guī)護理，研究組予以臨床護理路徑，比較兩組臨床指標、負面情緒、并發(fā)癥以及護理滿意度。結(jié)果：研究組臥床時間、排氣時間、進食時間以及住院時間均明顯短于參照組（P<0.05）。護理前，兩組負面情緒評分比較差異不大（P>0.05）；護理后，兩組負面情緒評分均有改善，且研究組負面情緒評分低于參照組（P<0.05）。研究組術(shù)后并發(fā)癥發(fā)生率明顯低于參照組（P<0.05）。研究組總滿意度明顯高于參照組（P<0.05）。結(jié)論：膽囊結(jié)石圍手術(shù)期護理中臨床護理路徑應(yīng)用的價值顯著，可優(yōu)化臨床相關(guān)指標，改善患者的不良情緒，降低相關(guān)并發(fā)癥發(fā)生率，值得推廣。

【關(guān)鍵詞】膽囊結(jié)石；圍手術(shù)期護理；臨床護理路徑；護理滿意度

Research on the value of clinical nursing pathway application in perioperative nursing of cholecystolithiasis

XIA Xixi

The Second Peoples Hospital of Hefei， Hefei， Anhui 230000， China

【Abstract】Objective：To analyze the value of clinical nursing pathway application in perioperative nursing of cholecystolithiasis. Methods：68 patients who underwent cholecystolithiasis surgery admitted to our hospital from January 2021 to October 2022 were selected. They were divided into the reference group and the research group based on the odd even order of admission，with 34 patients in each group. The reference group received routine nursing，while the research group received clinical nursing pathways.The clinical indicators，negative emotions，complications and nursing satisfaction were compared between the two groups.Results：The bed rest time，exhaust time，eating time and hospitalization time of the research group were significantly shorter than those of the reference group （P<0.05）.Before nursing，there was no significant difference in negative emotion scores between the two groups （P>0.05）；After nursing，both groups showed improvement in negative emotion scores，and the negative emotion scores of the research group were lower than those of the reference group （P<0.05）.The incidence of postoperative complications in the research group was significantly lower than that in the reference group （P<0.05）.The overall satisfaction of the research group was significantly higher than that of the reference group （P<0.05）.Conclusion：The application of clinical nursing pathway in perioperative nursing of cholecystolithiasis has significant value，which can optimize clinical related indicators，improve patients negative emotions，and reduce the incidence of related complications.It is worth promoting.

【Key Words】Cholecystolithiasis； Perioperative nursing； Clinical nursing pathway； Nursing satisfaction

膽囊結(jié)石作為臨床較為常見的一種膽囊良性疾病，是受諸多因素影響，致使膽汁形成結(jié)石而滯留在膽囊中，患者臨床表現(xiàn)有上腹疼痛、噯氣等，多采用膽囊切除術(shù)治療，雖可及時將病灶切除，但手術(shù)會產(chǎn)生一定創(chuàng)傷，易導(dǎo)致相關(guān)術(shù)后并發(fā)癥，因此，需在圍術(shù)期實施科學的護理干預(yù)[1]。尤其是部分患者由于缺乏病情及手術(shù)正確認知，易產(chǎn)生不良心理狀態(tài)，不僅影響圍手術(shù)期的依從性，還對手術(shù)順利開展產(chǎn)生阻礙，因此需通過圍術(shù)期科學且優(yōu)質(zhì)的護理方案調(diào)整患者身心狀態(tài)，確保手術(shù)順利進行[2]。常規(guī)護理更加注重患者已存在的狀況以及病情狀態(tài)，缺乏對心理狀態(tài)的高度重視，因此效果不能達到預(yù)期，而臨床護理路徑可對常規(guī)護理進行優(yōu)化及延伸，有效提高整體護理服務(wù)的規(guī)范性及科學性，其效果顯著[3]。鑒于此，分析臨床護理路徑在膽囊結(jié)石圍手術(shù)期護理中的應(yīng)用效果。……